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General NPI Number Information
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NPI Number | 1235837097
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Entity Type | Organization
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Legal Business Name | FEDERAL DOCTORS R US, LLC
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 13315 US HIGHWAY 19
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City | HUDSON
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State | FL
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Zip | 34667-1659
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Country | US
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Telephone | 727-267-3946
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Fax |
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Provider Business Mailing Address
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Address Line | 5825 LITTLE RIVER DR
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City | TAMPA
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State | FL
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Zip | 33615-3022
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Country | US
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Telephone | 727-267-3946
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAYUR M RESHAMWALA
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Credential | DC
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Telephone | 727-267-3946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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